MARY ELIZABETH SMITH CPNP
NPI 1730408386
Nurse Practitioner - Pediatrics in Loganville, GA

Active since May 21, 2010
3815 HARRISON RD, LOGANVILLE, GA 30052(770) 466-6112(770) 466-6012 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Elizabeth Smith Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH SMITH CPNP (NPI 1730408386) is an individual pediatrics provider in Loganville, Georgia, licensed in Georgia (RN178265) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1730408386
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ELIZABETH SMITHCredential: CPNP
Location Address3815 HARRISON RDLoganville, GA 30052-2462
Mailing Address980 Lawrenceville HwyLawrenceville, GA 30046-4706 · (770) 962-8025 · Fax (770) 822-1573
Fax(770) 466-6012
Sole ProprietorNo
Enumeration DateMay 21, 2010
NPI 1730408386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN178265
3815 HARRISON RD, Loganville, GA 30052

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3815 HARRISON RD
LOGANVILLE, GA 30052
Nurse Practitioner (Pediatrics)
3815 HARRISON RD
LOGANVILLE, GA 30052
Pediatrics (Adolescent Medicine)
3815 HARRISON RD
LOGANVILLE, GA 30052
Counselor (Professional)
3815 HARRISON RD
LOGANVILLE, GA 30052
Nurse Practitioner (Pediatrics)
3815 HARRISON RD
LOGANVILLE, GA 30052
Nurse Practitioner (Pediatrics)
3815 HARRISON RD
LOGANVILLE, GA 30052
Dietitian, Registered
3815 HARRISON RD
LOGANVILLE, GA 30052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Smith's NPI number?

The NPI number for Mary Smith is 1730408386. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Mary Smith located?

Mary Smith practices at 3815 Harrison Rd, Loganville, GA 30052. The listed phone number is (770) 466-6112.

What is Mary Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.